Category Archives: General Safety

Alcohol Awareness Month

By Member T. Bella Dinh-Zarr, PhD, MPH

April is Alcohol Awareness Month. First introduced in 1987 by the National Council on Alcoholism and Drug Dependence, Inc., this time is set aside to increase public awareness for alcohol-related issues and to encourage communities to focus on ways to address this public health problem. In 2016, according to the National Highway Traffic Safety Administration (NHTSA), 10,497 people across the United States were killed by drivers with blood alcohol concentrations (BACs) of .08 g/dL or higher. That means that every 50 minutes, a person is killed in an alcohol-impaired crash in the United States.

Impaired Driving PreventableAt the NTSB, we find this tragic and unacceptable, because every one of these crashes is preventable.

Next week, the Lifesavers National Conference on Highway Safety Priorities will take place in San Antonio, Texas. More than 2,000 highway safety professionals from across the United States will gather to meet, learn, and share their proven-effective programs to increase the safety of America’s roadways, including implementing impaired driving prevention programs, improving enforcement strategies, and encouraging legislative changes. I’m especially excited to be attending the conference this year, not only because it’s being hosted in my home state, but also because I will be speaking on a panel focused on lowering the illegal BAC from .08 to .05 percent in states across our nation. A take-home message that I hope all Lifesavers attendees will remember is that a .05 BAC is a broad prevention strategy which deters even drivers with high BACs from getting behind the wheel.

Reducing drinking and driving deaths takes a comprehensive approach, and lowering the illegal BAC limit is just one part of the impaired-driving-prevention equation. Other important solutions can be found below, through our past blogs, safety recommendations, and efforts to address alcohol-impaired driving. With one-third of all traffic fatalities related to impaired driving, and more than 10,000 American lives lost every year, our work is far from over.

We have accomplished a great deal when it comes to reducing alcohol-impaired driving, ChooseOnebut there is much more to be done to save lives and prevent injuries. The way I see it, the solution—this month and every month—is simple: if we separate drinking from driving, we will save lives.

Reaching Zero: Actions to Eliminate Substance-Impaired Driving Forum

Most Wanted List Progress Report: Highway Safety

This Super Bowl Sunday, Don’t Count on a Hail Mary

National Impaired Driving Prevention Month

How Employers Can Make our Roads Safer

Thank You for Your Service

Carrollton, Kentucky, 29 Years Later: So Much Work Still To Do

Alcohol Awareness Month—It’s Time to Separate Drinking from Driving

 

Most Wanted List Progress Report: Rail Safety

By: Chairman Robert L. Sumwalt

 The NTSB is releasing a series of blogs highlighting the progress the transportation community is making in each mode to advance issues on our 2017–2018 Most Wanted List. This series sheds light on the progress made and what needs to be done going forward to improve transportation safety. This is the fourth and final blog of the series.

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Chairman Sumwalt and Robert Hall, Director, NTSB Office of Railroad, Pipeline and Hazardous Materials Investigations talk with attendees at the Most Wanted List midpoint meeting

On November 14, 2017, the day before our Most Wanted List (MWL) progress meeting, we concluded our investigation into the April 2016 Amtrak train derailment in Chester, Pennsylvania. As I offer the closing words of this blog series highlighting the progress made  to address issues on our list, the NTSB is presently investigating the December 2017 Amtrak train derailment in DuPont, Washington, and the February 2018 Amtrak train and CSX freight train collision near Cayce, South Carolina. And, on February 15, I testified before the US Congress regarding the urgency for the industry to fully implement positive train control (PTC) by year’s end. That same day, we also issued three urgent safety recommendations to address findings from our investigations into the Cayce accident and the June 2017 Long Island Rail Road accident in Queens Village, New York.

At our midpoint meeting, I joined members from our Office of Rail, Pipeline, and Hazardous Materials Investigations to lead a discussion on rail safety. While there has been progress with implementing some of the NTSB’s recommendations, the Chester and DuPont derailments and the Cayce collision tragically illustrate that more needs to be done – and quickly!

A deficient safety management system and impairment were factors in the fatal Chester accident. And, like many accidents we’ve investigated, distraction played a role. When the accident occurred, the dispatcher was speaking to his spouse on a landline. We’ve recommended that Amtrak prohibit such calls while dispatchers are on duty and responsible for safe train operations.

The Chester accident also illustrated the fact that drug use by rail workers has been on the rise in recent years, playing a part in seven accidents in the last 3 years and nine accidents in the last decade, compared to only one accident in the prior decade. In the Chester accident, a backhoe operator who was killed had cocaine in his system, and two different opioids were discovered in the track supervisor’s system. During our investigation, the Federal Railroad Administration (FRA) moved quickly to require random urine drug screening for maintenance‑of‑way workers, effective April 2018. Additionally, the Amtrak locomotive engineer tested positive for marijuana, although there was no operational evidence that his prior drug use impaired his performance on the morning of the accident. What it did show, however, is that despite DOT random drug testing requirements for locomotive engineers, such a program did not deter his use of an illicit drug.

Fatigue and medical fitness are other significant MWL issues for rail, and we’re disappointed that the FRA and the Federal Motor Carrier Safety Administration have withdrawn an advanced notice of proposed rulemaking that would’ve supported sleep apnea screening for railroads and for commercial highway carriers. Clearly, there’s still important work to do on these issues.

Regarding another significant MWL issue for rail, strengthen occupant protection, the FRA has made progress toward developing a performance standard for keeping window glazing in place during an accident. Unfortunately, meaningful improvements related to the safety of corner posts, door designs, restraint systems, and locomotive cab crashworthiness have been slow.

The MWL’s safe transport of hazardous materials issue area focuses on transporting energy products in safer tank cars, built to the DOT-117 rather than DOT-111 and CPC 1232 standards. We are pleased to see that the more robust DOT-117 standard is being used for transport of crude oil. Ethanol transport, however, still widely relies on the DOT-111 and CPC 1232 standards. We urge stakeholders to move to using the DOT-117 standard when carrying ethanol as soon as possible, ahead of the mandated deadlines.

There has been little, if any, progress to improve transit safety oversight since we released the current MWL. To exercise effective oversight, the Federal Transit Administration (FTA) must continue to use the authority it gained with the Fixing America’s Surface Transportation Act and Moving Ahead for Progress in the 21st Century Act to promulgate safety rules.

Finally, on the issue of expanding recorder use, the industry is moving forward with installing inward-facing video cameras on passenger trains, which is a step in the right direction. However, we would like to see the FRA move forward on requiring the installation and that the requirement be expanded to include audio recording, and we believe that the freight rule should follow suit. The FTA still has no such requirements for transit rail.

As I offer the last thoughts on our MWL midpoint meeting blog series, I want to thank all those who attended for taking the time to offer suggestions and share their perspectives on the issues affecting the safety of our nation’s transportation system. As we move into the second year of this MWL cycle, I challenge our stakeholders to target one or more recommendations on which they can make measurable progress before this year is over. We all want to have the safest transportation in the world, and it will take us working together to accomplish it.

 

Recognizing Important Women Leaders at NTSB—From Yesterday and Today

By Chairman Robert Sumwalt

March is Women’s History Month, so it’s only appropriate to look at some of the American women who have helped influence and shape today’s transportation system, including those working at the NTSB today.

We have witnessed the extraordinary accomplishments of women like Bessica Raiche, the first female pilot in the United States to make a planned flight, and our very own Member Bella Dinh-Zarr, the first Asian American to become a Board Member at the NTSB. Member Dinh-Zarr has spent years advocating for and promoting safe and sustainable transportation. These women have reached great heights in their careers and are renowned nationwide for their successes.

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Shannon Bennett (left), Sharon Bryson and Dana Schulze

Yet, there are many more women—perhaps not as nationally known but just as important to the NTSB’s critical mission—that we would like to recognize. In celebration of Women’s History Month, we recently sat down with some of the exceptional women who have emerged from the NTSB’s ranks to become leaders in management and safety. They inspire staff every day to work hard to improve transportation safety, sharing NTSB safety messages and encouraging us all to remember our mission to save lives. They are role models for many at the agency—men and women. We asked them to share their thoughts on leadership with staff last week at a special briefing, and we think their lessons are beneficial to all, even those outside our organization. Here’s what they had to say.

Dana Schulze is the deputy director of the NTSB’s Aviation Safety (AS) Office. As second-in-command of AS, she oversees all aviation accident and incident investigations in the United States and those involving US products or operations overseas. More than 50 air safety investigators and supporting staff within AS report directly to her. She approves information AS releases and routinely briefs Congressional staff and industry stakeholders on behalf of our agency. She began her career in the aircraft manufacturing industry as a mechanical engineer and has experience developing, manufacturing, and conducting failure investigations involving aircraft systems. From there, she rose through the NTSB ranks to her current position. She attributes her success to a continuous learning approach and her interest in improving aviation safety. Because of her critical-thinking skills and ability to lead others, she quickly rose to a leadership position at the agency.

According to Schulze, she did not initially set out to join management, but when the opportunity was offered, she recognized that she could add value and be a good fit. She believes a leader should be able to inspire and motivate others. Through integrity, consistency, and transparency, a leader “can instill a balance of vision and practicality,” she says. She says she has been inspired by thought leaders such as Steven Covey. Transportation has long been a male-dominated industry, and Schulze encourages women to get involved with transportation-related STEM programs that interest them, even those outside their comfort zones.

Sharon Bryson is the NTSB’s deputy managing director. She joined the agency more than 20 years ago after a career providing services to military families at Dover Air Force Base. When she arrived at the NTSB, the agency had just been given the responsibility for family assistance by Congress. Bryson took a lead role in setting up the NTSB’s first family assistance program. This program, now called Transportation Disaster Assistance, is still in place today and has served thousands of families over the years. Later, after serving as director of the Office of Safety Recommendations and Communications, Bryson became the agency’s deputy managing director, a position that involves assisting the Managing Director with managing the day-to-day activities of the agency.

According to Bryson, having the opportunity to mentor others and share what she has learned about leadership is very important to her.  She strives daily to engage with staff members and actively highlights their individual abilities, with the goal of seeing them thrive. “A leader is supposed to support and guide,” she says. By recognizing the strengths and weaknesses of the people around her, she puts value in their diverse opinions; there is no room for judgement or negativity. “When all of these are combined, it creates an environment where people feel engaged and encouraged,” she says.

Shannon Bennett came to the NTSB’s Office of General Counsel in June 2010 before becoming an advisory and special assistant to Board Member Dinh-Zarr in June 2015. She comes from a long military history, having enlisted in 1993 as an Air Force ROTC cadet during college, then serving 11 years on active duty as a judge advocate. She continued to serve in the Air Force Reserve and was assigned as a judge advocate in the Office of The Judge Advocate General at the Pentagon. According to Bennett, when she separated from active duty in 2010, she wanted to find a job where, as in the Air Force, she felt that she was serving her country and making a difference in people’s lives. That’s how she wound up at NTSB.

Leadership is “the art of influencing and directing people to accomplish the mission,” Bennett says, quoting the Air Force Pamphlet on Leadership she received as an ROTC cadet. She tries to live by the adage “saw the log in front of you,” meaning, do your very best in every job that’s given to you no matter how big or small, rather than seek the glory of a job you don’t have. Mentoring is also very important to her, and she encourages all leaders to guide others.

As we celebrate Women’s History Month, let’s all take the time to look around us and celebrate the unique and powerful women in our own lives. We are so grateful to have Dana, Sharon, and Shannon as members of our “Women Dream Team,” as well as all the other female employees at the agency who work daily to improve transportation safety and inspire those around them.

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Don’t Turn A Blind Eye on Risky Pilot Behavior

By Leah Read

This is the seventh blog in a new series of posts about the NTSB’s general aviation investigative process. This series, written by NTSB staff, explores how medical, mechanical, and general safety issues are examined in our investigations.

 

“Turning a blind eye, makes nothing disappear.”  Anonymous

Leah Read
Leah Read, Senior Air Safety Investigator

When air safety investigators arrive at the scene of a fatal aircraft accident, we meet with law enforcement officers, witnesses, friends of the pilot, and family. During these critical interviews, we start to get a bigger picture of the circumstances surrounding the accident and those involved. It’s very common to hear almost immediately that the pilot was very “conscientious,” “thorough,” and an “excellent pilot.”

But there are also times when no one seems to be saying anything much at all about the pilot…until we dig deeper. That’s when we hear things such as, “The pilot never maintained his airplane right.” or “Everybody knew he was going to crash eventually.”

There are also times when the investigator will get a call via our communications center that a witness must talk to someone “right away.” The witness then tells us that the pilot had a LONG history of “maverick-like” behavior, was known to “buzz” a friend’s house, or used illegal drugs—as just some examples. In these situations, we will ask the witness if they had talked to the pilot about this behavior or contacted the Federal Aviation Administration (FAA). They sometimes tell us, “I tried to talk to him, but he wouldn’t listen. He was too prideful.”

But more often, they tell us that they didn’t say anything to the pilot or FAA. Sometimes, the pilot was a friend whom they didn’t want to embarrass or cause any trouble. Personally, as a fellow pilot, I can understand the concerns.

But what if you see something, and don’t step up and say something? The reality is that nonreporting can put people at risk.

Many don’t realize that there are actions the FAA can take if risky pilot behavior is reported. The FAA has established a hotline for confidential and anonymous reporting. As noted on the FAA website, “The FAA Hotline accepts reports concerning the safety of the National Airspace System, violation of a Federal Aviation Regulation (Title 14 CFR), aviation safety issues…. The FAA Hotline provides a single venue for…the aviation community and the public to file their reports.”

As one FAA inspector told me, “We can’t investigate what we don’t know.” If a complaint was made via the FAA Hotline, the FAA would be obligated to investigate. Remember, you may not only save the life of another pilot but also an innocent passenger or bystander.

The NTSB, unfortunately, has seen the tragic consequences of turning a blind eye to a known hazard. I have seen accidents that have occurred in someone’s front yard, skimmed the roof of an apartment building, or crashed near a school. If the airplane had impacted just a few yards in either direction, the damage and loss of life could have been so much worse. This was the case in an accident I investigated where the pilot lost control of the airplane, crashing into a front yard just feet from an occupied house. Thankfully, there was no fire, and no kids were playing in that front yard.

Within moments of arriving on scene and being debriefed by law enforcement, I was handed a witness statement. Very quickly, I realized the witness was quite credible—and what he had to say about the pilot was alarming. The pilot had a known history of reckless behavior. Further investigation revealed that people knew of the pilot’s behavior but didn’t want to report him for several of the reasons I mentioned above. Not surprisingly, the FAA had no negative history on the pilot. He had a clean record and was never on their radar.

Sadly, in this accident, the pilot and his innocent passenger died. But what if he had other passengers onboard? What would have happened if he had crashed into the house, or, worse, a crowd?

A colleague of mine investigated an accident where a pilot was flying an airplane he was not rated to fly, in instrument conditions without holding an instrument rating. The pilot had recorded numerous notes in his logbook that provided compelling evidence of his own unsafe flying, by his own admission. The pilot noted landing on a major highway and flying low over a crowd during parades. He was also known for unsafe low-level flights over airshows and having a general disregard for proper communication procedures. Yet nothing was done about his behavior; people turned a blind eye to it. Tragically, the pilot and three occupants died in the accident when the airplane encountered instrument meteorological conditions and impacted terrain.

In the big scheme of things, we need to ask ourselves, who are we really protecting by keeping quiet?  As active pilots, mechanics, airport personnel, friends, and family members, you are the eyes and ears to what’s going on out there. You know your airport and the people who use it. You know when your friend or family member seems risky or unsafe. If you identify a hazard, then speak up. Or, file a report with the FAA Hotline. Just remember, we all share the same airspace or may be nearby if their plane crashes.

Stay safe and don’t turn a blind eye!

For more information on submitting a report of a risky pilot via the FAA Hotline, visit: https://hotline.faa.gov/

Leah Read is a senior air safety investigator in the NTSB Office of Aviation Safety.

Most Wanted List Progress Report: Aviation Safety

By Member Earl F. Weener

The NTSB is releasing a series of blogs highlighting the progress the transportation community is making in each mode to advance issues on our 2017-2018 Most Wanted List. This series sheds light on the progress made and what needs to be done going forward to improve transportation safety. This is the third blog of the series.  

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Member Earl Weener and John DeLisi, Director, NTSB Office of Aviation Safety, talk with attendees during the aviation session of the Most Wanted List midpoint meeting

Aviation is one of the safest forms of transportation—largely due to government-industry collaboration efforts such as the Commercial Aviation Safety Team and the General Aviation Joint Steering Committee. We have seen no passenger fatality in the domestic operation of a U.S. airline (Part 121) since 2009, and the accident rate is trending slightly downward in General Aviation-GA (Part 91 and Part 125). While we celebrate the safety gains made across the commercial aviation industry, there is still work to be done across all sectors, especially in GA.

On November 15, the NTSB brought together government, industry, and advocacy representatives from the transportation safety community to get a progress report on our Most Wanted List (MWL) of transportation safety improvements. Aviation Safety Director John DeLisi and I led the aviation portion of the discussion.

 

 

We learned that industry is taking the lead to improve safety, and, while some Federal Aviation Administration initiatives have been helpful, more may be needed. Yet the best path to getting NTSB recommendations adopted, most agreed, was encouraging a more aggressive voluntary, collaborative approach to safety.

Our focus on preventing Loss of Control (LOC) In Flight in General Aviation (GA)—the only aviation-specific issue on the MWL—was the primary focus of our conversations. Successfully resolving this problem requires continuing collaboration, which, so far, appears to be occurring widely and effectively. The GAJSC is one organization helping to facilitate this collaborative approach. At the mid-point meeting, we also announced that the NTSB will be collaborating with the FAA, industry associations, flight schools, technology manufacturers, and others in an upcoming April 24, 2018, roundtable on LOC solutions. The number of LOC and fatal LOC accidents are both trending down as of 2016, our last complete year of data. We won’t call that progress yet, but we might look back one day and say that it was.

The changes to Part 23 of the Federal Aviation Regulations reforming small aircraft certification standards have enabled streamlined adoption and installation of new technologies, such as AOA indicators that would prevent LOC, without a lengthy and costly supplemental FAA flight certification. Private industry can now do what it does best: innovate.

We also discussed another MWL issue, Expand Recorder Use to Enhance Safety. In particular, the NTSB would like to see more cockpit cameras, which aid in accident investigations and provide useful data for developing policies/procedures to prevent accidents. However, privacy issues, data protection challenges, and fears of punitive actions by companies appear to still hinder progress in this area.

Just as we have seen tremendous benefits in crash survivability on our highways with the use of seat belts and air bags, the aviation community so too must also recognize the significant safety benefits of enhanced occupant protection systems, such as five-point shoulder harnesses. While helicopter pilots appear to be buckling up, others in GA are not—including passengers. Child restraint systems (“car seats”) should also be used in planes; yet, they widely are not. The NTSB reported at this meeting that we are collecting more data on if/how seat belts are used in our accident investigations.

Progress is being made on the carriage of lithium-ion (LI) batteries. Heat from one battery can propagate to nearby batteries before a fire breaks out, introducing a challenge for fire detection and suppression. However, we expect the FAA to complete testing related to this risk within this MWL cycle. We also await the Pipeline and Hazardous Materials Safety Administration actions to harmonize its regulations with the International Civil Aviation Organization’s technical instructions regarding segregating lithium batteries carried as air cargo from other flammable cargo.

Just before the beginning of this MWL cycle, in 2016, the new flight and duty regulation went into effect, a huge win for managing fatigue in commercial aviation. We continue to fight for the small wins. We still need to apply the same level of safety to cargo flights, but we have seen progress toward applying it to maintenance personnel.

And, in 2017, the FAA communicated that they’ll research the prevalence of impairing drug use – OTC, illicit, and prescription – throughout aviation. Previously, we had studied their presence in pilots in fatal accidents, which revealed an alarming rate of OTC use in fatal accidents. It may be too early to discuss any changes to medical fitness in aviation due to BasicMed. However, one of the related concerns is the loss of flight time data that we previously gathered as part of the medical certification process.

After our progress report meeting, I felt optimistic that the improvements being made, especially by industry, will serve to make aviation even safer. I encourage all stakeholders and the general flying public to consider areas where we still need to make progress. Everyone has a role to play in improving aviation safety—whether you are a pilot, an operator, or sitting in the seats.

The Invaluable Service of Air Tankers

By Jeff Marcus and Clint Crookshanks

One enduring image of the fight against forest fires, like those that devastated California last year, is of a large airplane flying low and dropping red fire retardant. These firefighting air tankers are invaluable, and they operate in extreme environments.

2016 Pilot Fire Image by Cy Phenice
2016 Pilot Fire Image by Cy Phenice

Over the years, we’ve investigated several accidents involving firefighting aircraft, identifying issues and making recommendations to ensure the safety of these important assets. For example, in 1994, we investigated an accident in which a retired Air Force Lockheed C-130A Hercules, which had been converted into a firefighting airplane and was under contract to the US Forest Service (USFS), crashed while battling a fire in the Tehachapi Mountains near Pearblossom, California, killing all three flight crewmembers. In June 2002, another retired Air Force Lockheed C-130A Hercules, also converted into a firefighting aircraft and under contract to the USFS, crashed while dropping fire retardant near Walker, California, killing the three flight crewmembers onboard. Just a month later, a retired Navy Consolidated Vultee P4Y-2 Privateer, again under contract to the USFS to fight forest fires, crashed while maneuvering to deliver fire retardant near Estes Park, Colorado, killing both flight crewmembers. We determined that the probable cause in each of these accidents was in‑flight structural failure due to fatigue cracking in the wings, and we concluded that maintenance procedures had been inadequate to detect the cracking.

Firefighting operations inherently involve frequent and high-magnitude low-level maneuvers with high acceleration loads and high levels of atmospheric turbulence. A 1974 NASA study found that, at that time, firefighting airplanes experienced maneuver load factors between 2.0 and 2.4—almost a thousand times more than those of aircraft flown as airliners. The NASA study concluded that, because the maneuver loading in firefighting airplanes was so severe relative to the design loads, the aircraft should be expected to have a shortened structural life. Repeated and high‑magnitude maneuvers and exposure to a turbulent environment are part of firefighting service, and these operational factors hasten fatigue cracking and increase the growth rate of cracking once it starts.

Aerial firefighting is an intrinsically high-risk operation; however, the risk of in‑flight structural failure is not an unavoidable hazard; rather, fatigue cracking and accelerated crack propagation should be addressed with thorough maintenance programs based on the missions flown. Aircraft maintenance programs, which are typically developed by airplane manufacturers, usually point out highly stressed parts that should be inspected for signs of fatigue cracking, and they give guidance on how often these parts should be inspected. When specifying a maintenance program, manufacturers typically consider the expected loads that an airplane will encounter; however, in the past, for many aircraft used in firefighting operations, very little, if any, ongoing technical and engineering support was available because the manufacturer no longer existed or did not support the airplane, or the military no longer operated that type of aircraft. The maintenance and inspection programs being used for the firefighting aircraft mentioned above did not account for the advanced age and the more severe stresses of the firefighting operating environment.

As a result of our investigations, we issued safety recommendations to the USFS to hire appropriate technical personnel to oversee their airtanker programs, improve maintenance programs for firefighting airplanes and to require its contractors to use these programs. The USFS responded promptly and effectively, substantially improving the safety of its firefighting operations. The USFS hired a team to build out its Airworthiness Branch, to lead their effort to comply with the NTSB recommendations, and with this staff of engineers and technicians made needed revisions to the contracting, oversight, and operations of the USFS program using airplanes to fight forest fires. The agency hired aircraft engineering companies that performed in‑depth stress analyses on the firefighting airplanes in operation. The results were used to improve maintenance programs by identifying parts of the aircraft structure in need of continuing inspections and proposed the time and use intervals needed between inspections to prevent fatigue cracks from developing into catastrophic structural failures. The USFS also outfitted firefighting aircraft (tankers as well as helicopters and lead aircraft) with equipment that measures and records the actual flight loads experienced while fighting forest fires, then used that data to further improve the inspection program for airplanes in use and to develop programs for new types of airplanes being introduced to fight forest fires.

Clint Crookshanks, an NTSB aviation structural engineer and aircraft accident investigator who worked on these airtanker accidents, helped the USFS review its contractors’ maintenance and inspection program documents and provided advice on how they could better address our recommendations. On November 5, 2010, the USFS issued its first iteration of a Special Mission Airworthiness Assurance Guide for Aerial Firefighting and Natural Resource Aircraft, which contained the method, schedule, and standards for ensuring the airworthiness of firefighting aircraft. The USFS has revised the guide twice since then, with the latest revision issued on November 6, 2015. The guide now includes standards for USFS aircraft contracts, which are required for all aircraft used in USFS firefighting missions, satisfying our recommendations. Since these improvements were implemented, no aircraft performing aerial firefighting missions for the USFS have experienced an in‑flight structural failure.

We continue to work with the staff at the USFS to improve the safety of firefighting flights. At the beginning of January 2018, Clint attended a meeting in Missoula, Montana, to discuss the current and future large airtankers on contract to the USFS. Our recommendations are still relevant to the USFS and its contract operators and were the basis for most of the discussion at the Missoula meeting. The current USFS contract requirements have ensured that all contractors have effective maintenance and inspection programs that account for the extreme operating environments seen in aerial firefighting. Aircraft providing aerial firefighting services contain equipment that records the loads on the aircraft and even provides an alarm in real-time when a flight’s loads may have overstressed the airplane. In addition, the data recorded is downloaded and supplied to Wichita State University for mission profile development. British Aerospace, which originally manufactured the jet powered BAe 146 and RJ-85 airplanes currently used for USFS firefighting operations, provides technical support for these airplanes’ operators. The US Air Force also provides firefighting service using C-130 airplanes equipped with a Mobile Airborne Firefighting System (MAFFS) to assist the USFS on an as needed basis. The manufacturer of the C-130, Lockheed-Martin, is working with the Air Force to continually monitor and analyze the loads on airplanes used in the firefighting mission.

 

San Bernardino, CA, Wildfire- Image by Ben Cottman
San Bernardino, CA, Wildfire Image by Ben Cottman

The importance of keeping these unique aircraft and their crews safe and functional becomes even more evident during every forest fire season. The lessons we’ve learned from our accident investigations have been used to identify needed changes that have made it possible to more reliably and safely fight forest fires from the air and protect life and land.

 

Jeff Marcus is an Aviation Transportation Safety Specialist in the NTSB Office of Safety Recommendations and Communications. Clint Crookshanks is an aviation structural engineer and aircraft accident investigator in the NTSB Office of Aviation Safety.

 

 

Most Wanted List Progress Report: Highway Safety

By Member T. Bella Dinh-Zarr, PhD, MPH, and Robert Molloy, PhD

The NTSB is releasing a series of blogs highlighting the progress the transportation community is making in each mode to advance issues on our 2017–2018 Most Wanted List. This series sheds light on the progress made and what needs to be done going forward to improve transportation safety. This is the second post of the series. 

 

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Member Dinh-Zarr talks with attendees during the highway session of the Most Wanted List midpoint meeting

We’re now midway through the 2017–2018 Most Wanted List cycle, and we’re eager to learn how this year will measure up to previous years. The past 2 years have resulted in an increase in highway traffic fatalities­­—from 32,000 roadway deaths per year in 2014 to more than 37,000 in 2016­­—so clearly, improvements are vital. We checked in with stakeholders on the progress they’re making to address the most pressing issues, and they’ve updated us on their successes and struggles. Here’s where we stand.

Install Collision Avoidance Technologies

Collision avoidance technologies can reduce the number of deaths and injuries on the nation’s roadways now. Today, automatic emergency braking (AEB) and forward collision warning systems already work to reduce rear-end crashes in equipped vehicles, and we’ve been working to encourage industry and vehicle manufacturers to adopt such systems. In 2017, we cohosted a roundtable with the National Safety Council on commercial vehicle (heavy-duty truck) use of advanced collision avoidance technologies and learned that truck manufacturers are beginning to see high customer demand for forward collision avoidance systems on their trucks. During the roundtable, one manufacturer indicated they were making the technologies standard on their trucks, while another mentioned that over 60 percent of their customers purchase vehicles with technology. In addition, the National Highway Traffic Safety Administration (NHTSA) is making progress on evaluation and testing collision avoidance technologies. We continue to advocate for connected vehicle technology because these technologies can further aid in collision avoidance, especially in situations where vehicle resident sensors are weak. Safety should never be considered a barrier to innovation, but rather, an integral component of it.

End Impairment in Transportation

In 2017, we saw progress on reducing alcohol impairment in transportation. Utah became the first state in the nation to pass a law setting a .05 percent blood alcohol content per se limit, and Nebraska and Oklahoma passed all-offender ignition interlock laws. The Federal Motor Carrier Safety Administration (FMCSA) published a final rule establishing the Commercial Driver’s License Drug and Alcohol Clearinghouse, and NHTSA developed training programs addressing the full range of responses to alcohol impairment, from enforcement through adjudication. Yet, we still need more states to strengthen their impaired driving laws and enforcement. We also need improved “place of last drink” (POLD) data to help law enforcement officers deter future violations, and we need better methods to measure impairment by drugs other than alcohol.

Require Medical Fitness, Reduce Fatigue-Related Accidents

In terms of medical fitness, we’ve criticized both the FMCSA and the Federal Railroad Administration because they have withdrawn their advance notice of proposed rulemaking regarding obstructive sleep apnea, which could have led to a rulemaking to address this important issue for people in safety-critical positions. In the highway mode, untreated moderate‑to-severe sleep apnea disqualifies drivers from operating large commercial vehicles because it affects driving safety, yet clear guidance is needed to assist medical examiners in identifying the condition. Nevertheless, the FMCSA has made notable progress by developing a National Registry of Certified Medical Examiners that lists all medical professionals who are qualified to certify drivers. This is a step in the right direction.

The FMCSA took another important step to improve safety when it implemented the electronic logging device (ELD) rule in December 2017. The rule requires the use of technology to automatically track driving and duty time. The NTSB advocated for such devices for many years because they enable better enforcement of hours-of-service regulations and can lead to reductions in drowsy driving among truck and bus drivers.

Eliminate Distractions

Our roundtable earlier this year, “Act to End Deadly Distractions,” brought together survivor advocates and experts throughout industry and government to discuss progress on state laws. We are beginning to see states consider legislation that would completely ban the use of hand-held devices, which highlight manual and visual distraction, but public awareness of the cognitive distraction that can result from hands-free device use remains very low.

Strengthen Occupant Protection

The good news this year on occupant protection is that motorcoaches are now built with lap and shoulder belts for all passenger seating positions. Now we’re focusing on all motorcoach passengers properly using those belts and using them every time they ride. We are urging primary enforcement of seat belt laws for all vehicles, including large buses equipped with belts, at every seating position, and we’re calling for safety briefings on motorcoaches similar to those delivered on commercial flights that explain seat belts and other safety features. As for passenger vehicles, some states, such as Massachusetts and New Hampshire, are considering joining the 34 states that already have primary enforcement of mandatory seat belt laws. Primary enforcement of mandatory seat belt laws is proven to increase seat belt use and, thereby, reduce the number of deaths and injuries on the roads. Regarding motorcycles, we are concerned that some states are repealing their helmet laws, because we know reduced helmet use will lead to more traumatic brain injuries and deaths.

Critical topics that touch on these highway safety issues are speeding and roadway infrastructure. Our recent safety study on speeding establishes what many of us already know but may not always apply: speeding increases the risk and severity of a crash. Here again, along with other safety recommendations, we’ve identified available technologies that can save lives but are not currently in use. The importance of infrastructure was highlighted recently by our highway accident report on a motorcoach collision that killed 2 people and injured 14 others. An unrepaired crash attenuator, an unmarked gore area, and out-of-compliance signage were cited in the report, in addition to the lack of seat belt use by most of the occupants.

Expand Recorder Use

Finally, we continue to urge all large highway vehicles be required to be equipped with recorders that capture a standard set of parameters. Event data recorders are vital investigative tools in every transportation mode—they help us do our job better and faster by providing valuable information after a crash so we can figure out what went wrong and make recommendations that prevent future injuries and deaths. Unfortunately, in crashes involving large trucks or buses, we are often left with limited data from the vehicle about the crash. We learn much more from passenger vehicles in crashes than from trucks and buses because of the standards NHTSA has developed (no such standards exist for trucks or buses). These standards are critical for large-vehicle operators, who can use recorders to train their drivers and increase safety.

The Most Wanted List midpoint mark allows us to reflect as well as plan and set new goals for the upcoming year. Although we have a long way to go to reach zero fatalities on our roadways, the efforts highlighted above, innovative partnerships and strategies, and bold actions to advance our recommendations are what we need to make America’s roadways fatality-free.

 

Dr. Robert Molloy is the Director of the NTSB’s Office of Highway Safety.